| NPI | 1205088325 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WH0200X Registered Nurse, Home Health (Licence: MN R160820-7) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: MN R160820-7) |
| Enumeration Date | 2008-10-21 |
| Last Update Date | 2022-12-07 |